RVRS Medical College & M G Hospital

Bhilwara, Rajasthan – 311011

Ph : 01482-231400, Mob : 7597511156

DEPARTMENT OF OTORHINOLARYNGOLOGY
RVRS Medical College & M G Hospital
Bhilwara, Rajasthan-311011

LOG BOOK
OF

POST GRADUATE DIPLOMA COURSE

OTORHINOLARYNGOLOGY
DEPARTMENT OF OTORHINOLARYNGOLOGY

RVRS Medical College & M G Hospital

Bhilwara, Rajasthan-311011

LOG BOOK
OF
POST GRADUATE DIPLOMA COURSE
OTORHINOLARYNGOLOGY

Name :…………………………………………………………….…………….
DNB Registration No:…………………………………………………….
Session :……………………………………………………………..………..
 OTORHINOLARYNGOLOGY
Post-Graduate Trainee Particulars

Photo

Name
Age
Gender
Date of Birth
Institute of passing MBBS
Year of Passing MBBS
MBBS Registration Number
Date of Joining in present institution
PG Course name
University Registration No. (PG)

Present Address

Permanent Address

Contact Number

Head of the Department

 INDEX
Contents Page No.

Post-Graduate Trainee Particulars

Clinical Procedures Performed

Seminar Presentation

Clinical Case Presentation

Journal Case Presentation

Group Discussion Attended

Theory Classes Attended

Guest Lectures Attended

Death Review Meeting

Clinicopathological Seminars

Clinical Rotation

Attendance In Other Academic Activities

Publication of Articles

Overall Performance of the Post Graduate Trainee

 INSTRUCTIONS
v This log book is intended to be record of your basic postgraduate training.
v You are required to record Various academic activities, experimental,
investigative, clinical and/or operative and Management skills
performed/assisted/observed which have to be countersigned by the
respective teacher.
v The purpose of the log book is to have an audit have off the PG students
performance as well as the training in the specialty before a post graduate
degree in earned by him.
v This log book should be deposited to the Head of the department before
appearing inexamination.

P.G. Training Programme :

The post graduate Programme broadly should include lecture/demonstration

on applied basic sciences, bed side clinics, case presentations, faculty lectures,
symposia/seminar journal clubs, biopsy, radiology discussions and graded clinical
responsibility.
Evaluation:-
It is essential that be trainee maintains a meticulous account of the work done
by him. The recordbook will in addition remind the trainee of what he should observe,
learn and perform in a programmed and phased manner during the course of training.
It is hoped that this record will stimulate the trainee towards greater effort in areas
where he is below par and also record his progress. It forms the basis for assessment
and evaluation of the trainees progress.
Some of the possible criteria on the basis of which a trainee could be evaluated
are as below
a. Soundness of Knowledge
b. Application & Judgment
c. Keeness to learn
d. Punctuality and Promptness
e. Willingness to work
f. Initiative
g. Reliability
h. Clinical Skill
i. Behaviors with patients
j. Attitude towards patient's relative, colleagues, seniors and other staff.
k. Ability to express
Depending on the qualities and level of attainments a candidate could be
considered for appraisal, on the basis, for example of the following 5 letter grading
system.
A Excellent above 75% B. Good 60% 65%
B Satisfactory 50% 60% D. Poor 30% 50%
C Bad Below 30%
 LECTURERS ATTENDED
S.No. Date Topic Teacher

Signature of the Head of the Department

 SEMINAR PRESENTED
S.No. Date Topic Evaluation

Signature of the Head of the Department

 SEMINAR ATTENDED
S.No. Date Topic Evaluation

Signature of the Head of the Department

 SEMINAR ATTENDED
S.No. Date Topic Evaluation

Signature of the Head of the Department

 SEMINAR ATTENDED
S.No. Date Topic Evaluation

Signature of the Head of the Department

 JOURNAL CLUB-ARTICLE PRESENTED
S.No. Date Topic, Name & Year of Journal Evaluation

Signature of the Head of the Department

 JOURNAL CLUB ATTENDED
S.No. Date Topic, Name & Year of Journal Evaluation

Signature of the Head of the Department

 JOURNAL CLUB ATTENDED
S.No. Date Topic, Name & Year of Journal Evaluation

Signature of the Head of the Department

 CASE PRESENTATION
S.No. Date Case Consultant Evaluation

Signature of the Head of the Department

 CASE PRESENTATION
S.No. Date Case Consultant Evaluation

Signature of the Head of the Department

 CASE PRESENTATION ATTENDED
S.No. Date Case Consultant Evaluation

Signature of the Head of the Department

 CASE PRESENTATION ATTENDED
S.No. Date Case Consultant Evaluation

Signature of the Head of the Department

 CASE PRESENTATION ATTENDED
S.No. Date Case Consultant Evaluation

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

Experimental/Clinical Procedures/Investigations/Clinical Management/Operation:
Observed/Assisted/Performed under Supervision

S.No. Date Procedures/Investigations/ Evaluation by

Management/Operations Officer-in-Charge

Signature of the Head of the Department

 EMERGENCIES
S.No. Date Name of Emergencies Evaluation

Signature of the Head of the Department

 EMERGENCIES
S.No. Date Name of Emergencies Evaluation

Signature of the Head of the Department

 EMERGENCIES
S.No. Date Name of Emergencies Evaluation

Signature of the Head of the Department

 EMERGENCIES
S.No. Date Name of Emergencies Evaluation

Signature of the Head of the Department

 EXPOSURE/SEMINAR/SELF DIRECTED LEARNING
Comments about professionalism and behaviors of students (To be filled by the
supervisor)

S.No. Statement Superior comments

Yes No Any Other Point
1. Was polite with patients,
nurses, paramedical
staff, seniors and colleagues
2. Was ready to take
responsibility
3. Kept calm in difficult situations
4. Maintained an appropriate
appearance/dress
5. Avoided derogatory remarks in
the unit
6. Presentation skills were up to
the mark
7. Total attendance Out of =
8. Overall assessment of A: B: C : Low
professional conduct High Moderate
 LOGBOOK CERTIFICATE

This is to certify that the candidate Mr./Ms ........................................................ ,

Reg. No............................., admitted in the year 20..........- 20 ............ in

the………….........................................................Medical College, ...............................
has satisfactorily completed/has not completed all assignments/requirements
mentioned in this logbook for Post MBBS Diploma course in the subject(S) of ENT
during the period from.....................…… to ....................................

She/he is/is not eligible to appear for the summative (University) assessments
on the date given below.

Signature of Faculty
Name and Designation

Countersigned by head of the Department

Principal/Dean of the College

Place :

Date :